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Polyp measurement and size categorisation by CT colonography: effect of observer experience in a multi-centre setting.

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Title: Polyp measurement and size categorisation by CT colonography: effect of observer experience in a multi-centre setting.
Authors: Burling, David1, Halligan, Steve2 s.halligan@ucl.ac.uk, Altman, Douglas3, Atkin, Wendy4, Bartram, Clive1, Fenlon, Helen5, Laghi, Andrea, Stoker, Jaap6, Taylor, Stuart2, Frost, Roger7, Dessey, Guido8, Villiers, Melinda1, Florie, Jasper6, Foley, Shane5, Honeyfield, Lesley1, Iannaccone, Riccardo, Gallo, Teresa9, Kay, Clive10, Lefere, Philippe8, Lowe, Andrew10
Source: European Radiology. Aug2006, Vol. 16 Issue 8, p1737-1744. 8p. 2 Black and White Photographs, 2 Charts, 3 Graphs.
Subjects: Polyps, Tomography, Endoscopy, Colonoscopy, Colon (Anatomy), Chi-squared test, Clinical competence, Comparative studies, Differential diagnosis, Research methodology, Medical cooperation, Nonparametric statistics, Research, Evaluation research, Virtual colonoscopy, Research bias, Colon polyps
Geographic Terms: Europe
Abstract: The extent measurement error on CT colonography influences polyp categorisation according to established management guidelines is studied using twenty-eight observers of varying experience to classify polyps seen at CT colonography as either 'medium' (maximal diameter 6-9 mm) or 'large' (maximal diameter 10 mm or larger). Comparison was then made with the reference diameter obtained in each patient via colonoscopy. The Bland-Altman method was used to assess agreement between observer measurements and colonoscopy, and differences in measurement and categorisation was assessed using Kruskal-Wallis and Chi-squared test statistics respectively. Observer measurements on average underestimated the diameter of polyps when compared to the reference value, by approximately 2-3 mm, irrespective of observer experience. Ninety-five percent limits of agreement were relatively wide for all observer groups, and had sufficient span to encompass different size categories for polyps. There were 167 polyp observations and 135 (81%) were correctly categorised. Of the 32 observations that were miscategorised, 5 (16%) were overestimations and 27 (84%) were underestimations (i.e. large polyps misclassified as medium). Caution should be exercised for polyps whose colonographic diameter is below but close to the 1-cm boundary threshold in order to avoid potential miscategorisation of advanced adenomas. [ABSTRACT FROM AUTHOR]
Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Aug2006, Vol. 16 Issue 8, p1737-1744. 8p. 2 Black and White Photographs, 2 Charts, 3 Graphs.
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  Data: The extent measurement error on CT colonography influences polyp categorisation according to established management guidelines is studied using twenty-eight observers of varying experience to classify polyps seen at CT colonography as either 'medium' (maximal diameter 6-9 mm) or 'large' (maximal diameter 10 mm or larger). Comparison was then made with the reference diameter obtained in each patient via colonoscopy. The Bland-Altman method was used to assess agreement between observer measurements and colonoscopy, and differences in measurement and categorisation was assessed using Kruskal-Wallis and Chi-squared test statistics respectively. Observer measurements on average underestimated the diameter of polyps when compared to the reference value, by approximately 2-3 mm, irrespective of observer experience. Ninety-five percent limits of agreement were relatively wide for all observer groups, and had sufficient span to encompass different size categories for polyps. There were 167 polyp observations and 135 (81%) were correctly categorised. Of the 32 observations that were miscategorised, 5 (16%) were overestimations and 27 (84%) were underestimations (i.e. large polyps misclassified as medium). Caution should be exercised for polyps whose colonographic diameter is below but close to the 1-cm boundary threshold in order to avoid potential miscategorisation of advanced adenomas. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00330-006-0189-2
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        Text: English
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      – SubjectFull: Polyps
        Type: general
      – SubjectFull: Tomography
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      – SubjectFull: Endoscopy
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